Revenue Financial Analyst III

Company: L.A. Care Health Plan
Location: Los Angeles
Posted on: March 12, 2025

Job Description:

Job Category: Accounting/FinanceDepartment: Medical Payment System & ServicesLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 11977Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan, serving more than 2 million members.Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents.The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue received by L.A. Care. These duties include revenue reconciliation, premium billing, monitoring enrollment/disenrollment policies and procedures, journal entry preparation, heavy account analysis, month-end reconciliations, and preparation of financial reporting tools and audit schedules. This position interfaces and serves as a liaison with multiple internal departments and external contacts. Acts as a Subject Matter Expert and serves as a resource and mentor for other staff.Duties

• Responsible for the reconciliations of multiple revenue streams.
• Ensure disenrollment policy and procedures are practiced and monitored for accuracy.
• Responsible for preparation of multiple billing and analysis of multiple Revenue streams.
• Maintain multiple schedules to track contract rate changes and ensure correct rate adjustment.
• Accurate regulatory requirements interpretation.
• Prepare month-end reporting management tools accurately and analyze in a timely manner.
• Prepare daily, weekly, and/or monthly financial reports as assigned.
• Prepare Journal Entries and perform related General Ledger analysis and reconciliation. Prepare audit schedules.
• Prepare and participate in the completion of all assigned special projects.
• Master the QNXT Enrollment and Claims Module.
• Master SAP FS-CD and FI-GL Modules.
• Evaluate business operations and processes and identify areas for technical solutions to improve business performance. Consult across business operations, providing mentorship, and contributing specialized knowledge.
• Provide training, recommend process improvements, and mentor junior level staff and interns as needed.
• Perform other duties as assigned.Education RequiredBachelor's Degree in Finance or Related Field. In lieu of degree, equivalent education and/or experience may be considered.Education PreferredMaster's Degree in Finance or Related Field.ExperienceRequired:

• At least 4 years of financial related experience in a healthcare setting.
• At least 4 years of experience in a managed healthcare setting (HMO and IPA).SkillsRequired:
  • Strong accounting, analytical, and problem-solving skills.
  • Excellent oral and written communication skills.
  • Advanced PC Skills (Excel, Word, Access) ASP, and Structured Query Language (SQL) or Monarch.
  • Extensive knowledge of premium billing.Preferred:
    • Medi-Cal and Medicare and Covered California knowledge.
    • QNXT application knowledge.Licenses/Certifications RequiredLicenses/Certifications PreferredCertified Public Accountant (CPA)Required TrainingPhysical RequirementsLightAdditional InformationArea Specifics:Medi-Cal RevenueAdditional Duties and Responsibilities:
      • Preparation of the Supplemental submission for MediCal to California Department of Health Care Services (DHCS).
      • Preparation of the Plan Partners' monthly capitation payments.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.L.A. Care offers a wide range of benefits including:
        • Paid Time Off (PTO)
        • Tuition Reimbursement
        • Retirement Plans
        • Medical, Dental and Vision
        • Wellness Program
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Keywords: L.A. Care Health Plan, Los Angeles , Revenue Financial Analyst III, Accounting, Auditing , Los Angeles, California